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2011Sweet SwapCandy Exchange

Thank you to all our wonderful patients and families who donated their Halloween candy to the troops. The event also benetted Smiles Change Lives- an organization that provides low-income families the opportunity to get necessary orthodontic care. We gave away some great prizes and enjoyed seeing our awesome patients!

Januar y 2012



For referring dental offices
inside this issue
Working Smarter with Goals in Mind P.1 Clinical Topic of the Month P.2 Monthly Reading Stack P.3 Recent Photos P.4

App of the Month

Quote of the Month

Change is such hard work.
Billy Crystal

Cards by Apple
With this great new app from Apple, you can create and mail custom cards from your iPhone or iPod touch. Take a photo, edit the card with your own message and for $2.99 your card ships to anywhere in the U.S. including postage.

Featured Team Member

Meet Amy Roberts

Position at Burleson Orthodontics : Treatment Coordinator

From the Desk of Dr. Burleson - Working Smarter with Goals in Mind
You are probably familiar with the famous quotation from the founder of the Mayo Clinic, "people don't care how much you know until they know how much you care." But, have you ever considered why? Why, with instant messaging, 24 hour everything, information overload, the ability to talk, drive, text and send an email containing a video of your morning coee to your friends on Facebook; why, I ask, would anyone have time to care if you really care? One of my mentors explains, "because everyone feels misunderstood, most feel disrespected and under-appreciated, and everybody subconsciously is attracted to the rare person who actually understands, respects and appreciates them." quarterly goal might be to walk 20 minutes per day at least 4 times per week. At the end of the quarter, look at your goal sheet and answer the question "am I doing what I said I would do?" If not, why not; and if so, what is next? When you set objective goals for the quarter, it's easy to eliminate activities that are not propelling you towards your big goals. If you've taken the time to list what is important to you and what you want to achieve this year, you should clearly identify the time you're wasting on non-productive activities. Back to our example of getting in shape. If you listed "walk 20 minutes per day" as a goal for the quarter and you routinely wake up late or fall asleep early in front of the TV with potato chips on your chest, the 20 minutes per day should be easy to nd. Similarly, if you're wasting time in line at the post oce waiting for stamps, delegating this activity can save you time and help you work smarter, not harder. Finally, take your 5 quarterly goals and give everyone on your team a similar calendar for the year. Write the 5 main goals for the year at the top of the calendar and then give each team member 5 quarterly goals. Then, turn them loose and stay out of the way. 90 day reviews become easy. At the end of the quarter sit down with their calendar and see why they did or did not achieve the 5 activities listed on their calendar for the quarter. Setting goals with this system will help propel your oce to new levels of productivity and helps eortlessly identify wasted time. Set your goals and those of your team and persistently work towards achieving them. The by-product will be automatic elimination of anything in your daily routine that doesn't move you closer towards your goal. What would you do if you had an extra 20 minutes or 1 hour per day? Would you have more time to appreciate the things in life that really matter? Or will you frantically rush through life texting, tweeting, faxing, and emailing while driving? I think you're about to nd out.

Spectacular Smiles Issue 08 January 2012

rring s e refe For al offic dent

4151 N Mulberry Dr, Ste 210 Kansas City, MO 64116 (816) 929-6916 phone (866) 253-1590 fax www.BurlesonOrtho.com

Amy attended high school in a very small town just south of Kansas City. She went on to earn a Bachelor's Degree in International Business from College of the Ozarks. After graduation, Amy moved back to the Kansas City area and married her college sweetheart. She lives with him in Parkville where they just purchased their rst home and when she is not spending time with her family, friends and tiny dogs, Fiona and Chuckie you will be able to nd her baking cupcakes and roller skating as "Billie Club" with the Kansas City Roller Warriors. Amy enjoys helping people every day obtain the smile of their dreams.
4151 N Mulberry Dr, Ste 210 Kansas City, MO 64116 T : 816.929.6916 F : 866.253.1590 www.BurlesonOrtho.com

Who are you taking the time to appreciate this week? Is there time in your schedule to gain understanding and respect for your patient, your spouse, your employees, and your kids? If not, how might one gain a few extra minutes each day or even hours each week to devote to this endeavor? Working smarter and not harder is one way to focus on the things that matter most to you. In this brief article, I'm going to give you three ways to work smarter and not harder this year. First, prioritize your ve main objectives for the entire year. What do you want to achieve as a team this year in your oce, in your family, with your kids or through charities? You've heard the saying "if you have no destination, any road will take you there." Set your 5 goals for the year, write them down, say them out loud and share them with your team leaders, spouse, and family. If you can't put a goal in writing and say it out loud, you are highly unlikely to achieve it. Second, set 5 quarterly goals that will push you in the direction of achieving the "Big Five" you set for the year. If you have no idea how you might achieve your 5 yearly goals, that's OK for now. Set quarterly goals that might move you in the direction towards the big ve. What can you realistically accomplish in the next 90 days? These goals should be straight-forward and objectively measured. For example, if one of your ve big goals for the year is to get into shape, a

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VIP Referring Offices This Month 3 or more Referrals

Dr. Amy Bagley Dr. Fred Bailey Dr. Michael Berry Dr. William Busch Dr. Erica Fisher Dr. Kristy Fisher Dr. Joy Miller Dr. Louis Pollina Dr. Vic Rodman Dr. Brandi Roeber Dr. Doug Triplett

Clinical Topic of the Month

Every month, I will bring you a clinical topic and condensed presentation of an actual lecture from my teaching responsibilities at UMKC or Childrens Mercy. Its like a free miniresidency. Enjoy! - Dustin Last month, we reviewed the clinical signs of impacted canines. If you missed that important article, email my assistant at info@burlesonortho.com and we will send you a copy free of charge. To continue the discussion this month, let's look at treatment options for impacted canines and the factors that improve or diminish our success for orthodontic treatment of these patients. Tr e a t m e n t P l a n n i n g f o r I m p a c t e d Canines. There are several key factors that one must consider when planning treatment for impacted canines. The stage of dental development is important. You will recall from last month's article the take-home pearl and recommendation that patients age 10 or older, without a palpable bulge in the buccal v e s t i b u l e , s h o u l d b e r e fe r r e d t o t h e orthodontist for evaluation and possible canine impaction. Patients suspected of canine impaction due to severe crowding in the early mixed dentition might not be at the appropriate stage of dental development to warrant treatment. If in doubt, refer the patient to the orthodontist to discuss treatment timing, if you suspect canine impaction. The existing malocclusion plays heavily into the treatment plan for impacted canines.
Clinical pearl : Considering treatment options for canine impaction involves a thorough assessment of the facial profile, grow t h p re d i c t i o n s, a rc h d e ve l o p m e n t , dentition stage and malocclusion. If in doubt, refer to the orthodontist prior to extracting primary canines with the hopes of re-directing an impacted canine.

The Impacted Canine : Treatment

I strongly recommend an or thodontic evaluation prior to extracting primar y canines for the purpose of self-correction of an impacted canine. Orthodontic alignment following surgical exposure of the impacted tooth is often achieved with a gold chain bonded to the tooth. Space must be created prior to e r u p t i o n i n t o t h e a rc h a n d I h i g h l y recommend a trans-palatal arch be placed to help control vertical position of the molars and arch width when erupting with a ballista loop arch wire. Surgical removal of the impacted canine is also an option with very unfavorable canine position, poorly motivated patients or in patients with severe crowding or contraindication of orthodontic treatment. Additional Reading For the curious reader or highly-motivated student, I recommend Adrian Becker's authoritative book, The Orthodontic Treatment of Impacted Teeth, now in its second edition by Informa Publishers.



What should I know about a xed retainer?
A xed retainer is typically placed (glued) on the inside surfaces of the lower front teeth. This type of retainer can be attached to the two canine teeth or to every tooth in the area. A xe d re t a i n e r i s ve r y e cient at maintaining the positions of the teeth in certain situations. If your orthodontist decides to place a xed retainer, it will make cleaning between your teeth more di cult. Ask your orthodontist, dentist, and dental hygienist for tips and tricks to help you keep your teeth clean while wearing a xed retainer. With proper care and regular visits to your general dentist, your xed retainer can be left in place until lower jaw growth is completed (early adulthood) or inde nitely, as indicated.

Patients with severe crowding or excess spacing might have entirely different treatment plans based on facial profile, growth and development and molar classification. While some patients might benefit from premolar extractions in the presence of severe crowding, lip incompetence, convex facial profile and canine impactions; many others are likely not good candidates for extractions. Periodontal considerations are important in planning for the treatment of canine impactions. Especially in the case of buccal impactions, attached gingiva and increased risk of recession must be planned in the surgical exposure of these teeth. As a general rule of thumb, patients with high canine impactions in the buccal vestibule are candidates for an apically-repositioned flap in order to maximize attached tissue. Open surgical exposure is not recommended for these patients, as often the canine is present in oral mucosa without attached tissue present. Fu n c t i o n a l o c c l u s i o n , b i o m e c h a n i c s , retention and long-term esthetics are also considered in the treatment plan for canine impactions. Although a tooth might be a c a n d i d a t e fo r b i o m e c h a n i c s e r u p t i o n orthodontically, the long-term retention, vitality and esthetics might be so compromised as to rule out eruption of the tooth. This is often the case in adult patients with severe impactions. Treatment Options for Impacted Canines Extracting the primary canine in the age range of 10-13 years of age may help normalize the eruptive path in palatallydisplaced canines. Radiographic improvement should occur within 12-18 months in these patients. Crowded arches might benefit from a lingual holding arch or other space maintenance appliance.

Two Referrals
Dr. Michael Arnett Dr. William Brown Dr. Robin Onikul Dr. John Gordon Dr. Jack Huddart Dr. Esther Machen Dr. Mark Mancin Dr. Leslie McCla in Dr. Jennifer McAroy Dr. Joy Miller Dr. Vic Rodman Childrens Mercy Dr. Matthew Rivard Dr. Stephen Russell Dr. Grant Smith Dr. Wendy Weimer

To your success,

Figure 1. Maxillary trans-palatal arch No treatment is always an option for the poorly-motivated patient. Inform the patient of resorption risk and cystic change within the canine follicle and monitor these patients radiographically every 12 months.

To download Dr. Burlesons presentation on impacted canines, use your Smart phone enabled with a QR Reader and scan this code :

One Referral
Dr. Kurt Aarons Dr. Arsen Adjemian Dr. Joseph Evans Dr. G. Brent Evers Dr. Thomas Faerber Dr. John Goodman Dr. Reece Graue Dr. Baron Grutter Dr. Betty Horstmann Dr. Shao Jiang Dr. John Le Dr. Claudia Lopez Dr. Jennifer McAroy Dr. Scott Thomas

From Dr. Burlesons Reading Stack...

Thinking, Fast and Slow by Daniel Kahneman
A research powerhouse in psychology and winner of a Nobel Prize in Economic Sciences, Daniel Kahneman has written a highly-acclaimed new book looking at what inuences our thought. If you have even an ounce of curiosity about the psychology behind things we think we understand, but really dont, then you must pick up a copy of this book. A fun book to read and re-read, youll learn about the psychological basis for judgments, reactions, the choices we make and conclusions we jump to. Expect to be surprised by a few of Kahnemans ndings.

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